Trial Outcomes & Findings for Acalabrutinib, Umbralisib, and Ublituximab for the Treatment of Previously Untreated Mantle Cell Lymphoma (NCT NCT04783415)

NCT ID: NCT04783415

Last Updated: 2024-12-02

Results Overview

Defined as the proportion of response-evaluable participants that achieve a CR at the end of the induction therapy. CR rate after the induction therapy was estimated by the proportion of response-evaluable patients achieving CR after the induction therapy, along with the 95% exact binomial confidence interval.

Recruitment status

ACTIVE_NOT_RECRUITING

Study phase

PHASE2

Target enrollment

12 participants

Primary outcome timeframe

Participants were assessed at the end of the induction therapy (24 weeks post-baseline). The induction therapy included six 28-day cycles of the study treatment.

Results posted on

2024-12-02

Participant Flow

Participant milestones

Participant milestones
Measure
Treatment (Ublituximab, Acalabrutinib, Umbralisib)
Patients receive ublituximab IV over 90 minutes-4 hours on days 1, 8, and 15 of cycle 1 and days 1 of cycles 2-6. Patients also receive acalabrutinib PO BID and umbralisib PO QD on days 1-28. Treatment repeats every 28 days for 6 cycles in the absence of disease progression or unacceptable toxicity. MAINTENANCE: Patients receive ublituximab IV on day 1 on cycles 8, 10, 12, 14, 16, 18, 20, 22, 24, 26, 28, 30. Patients also receive acalabrutinib Po BID and umbralisib PO QD on day 1-28. Treatment repeats every 28 days for 24 cycles in the absence of disease progression of unacceptable toxicity. Acalabrutinib: Given PO Ublituximab: Given IV Umbralisib: Given PO
Overall Study
STARTED
12
Overall Study
COMPLETED
12
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Acalabrutinib, Umbralisib, and Ublituximab for the Treatment of Previously Untreated Mantle Cell Lymphoma

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Treatment (Ublituximab, Acalabrutinib, Umbralisib)
n=12 Participants
Patients receive ublituximab IV over 90 minutes-4 hours on days 1, 8, and 15 of cycle 1 and days 1 of cycles 2-6. Patients also receive acalabrutinib PO BID and umbralisib PO QD on days 1-28. Treatment repeats every 28 days for 6 cycles in the absence of disease progression or unacceptable toxicity. MAINTENANCE: Patients receive ublituximab IV on day 1 on cycles 8, 10, 12, 14, 16, 18, 20, 22, 24, 26, 28, 30. Patients also receive acalabrutinib Po BID and umbralisib PO QD on day 1-28. Treatment repeats every 28 days for 24 cycles in the absence of disease progression of unacceptable toxicity. Acalabrutinib: Given PO Ublituximab: Given IV Umbralisib: Given PO
Age, Continuous
70 years
n=5 Participants
Sex: Female, Male
Female
3 Participants
n=5 Participants
Sex: Female, Male
Male
9 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
12 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
Race (NIH/OMB)
White
12 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Region of Enrollment
United States
12 participants
n=5 Participants

PRIMARY outcome

Timeframe: Participants were assessed at the end of the induction therapy (24 weeks post-baseline). The induction therapy included six 28-day cycles of the study treatment.

Defined as the proportion of response-evaluable participants that achieve a CR at the end of the induction therapy. CR rate after the induction therapy was estimated by the proportion of response-evaluable patients achieving CR after the induction therapy, along with the 95% exact binomial confidence interval.

Outcome measures

Outcome measures
Measure
Treatment (Ublituximab, Acalabrutinib, Umbralisib)
n=12 Participants
Patients receive ublituximab IV over 90 minutes-4 hours on days 1, 8, and 15 of cycle 1 and days 1 of cycles 2-6. Patients also receive acalabrutinib PO BID and umbralisib PO QD on days 1-28. Treatment repeats every 28 days for 6 cycles in the absence of disease progression or unacceptable toxicity. MAINTENANCE: Patients receive ublituximab IV on day 1 on cycles 8, 10, 12, 14, 16, 18, 20, 22, 24, 26, 28, 30. Patients also receive acalabrutinib Po BID and umbralisib PO QD on day 1-28. Treatment repeats every 28 days for 24 cycles in the absence of disease progression of unacceptable toxicity. Acalabrutinib: Given PO Ublituximab: Given IV Umbralisib: Given PO
Complete Response (CR) Rate After Induction (Six Cycles)
100 percentage of participants

SECONDARY outcome

Timeframe: Participants were followed up to 24 months after the end of protocol therapy.

Defined as the proportion of response-evaluable participants that achieve a best response of either CR or partial response (PR) during protocol therapy. ORR rate after induction therapy was estimated by the proportion of response-evaluable patients achieving ORR after induction therapy, along with the 95% exact binomial confidence interval.

Outcome measures

Outcome data not reported

Adverse Events

Treatment (Ublituximab, Acalabrutinib, Umbralisib)

Serious events: 4 serious events
Other events: 12 other events
Deaths: 1 deaths

Serious adverse events

Serious adverse events
Measure
Treatment (Ublituximab, Acalabrutinib, Umbralisib)
n=12 participants at risk
Patients receive ublituximab IV over 90 minutes-4 hours on days 1, 8, and 15 of cycle 1 and days 1 of cycles 2-6. Patients also receive acalabrutinib PO BID and umbralisib PO QD on days 1-28. Treatment repeats every 28 days for 6 cycles in the absence of disease progression or unacceptable toxicity. MAINTENANCE: Patients receive ublituximab IV on day 1 on cycles 8, 10, 12, 14, 16, 18, 20, 22, 24, 26, 28, 30. Patients also receive acalabrutinib Po BID and umbralisib PO QD on day 1-28. Treatment repeats every 28 days for 24 cycles in the absence of disease progression of unacceptable toxicity. Acalabrutinib: Given PO Ublituximab: Given IV Umbralisib: Given PO
Cardiac disorders
Supraventricular tachycardia
8.3%
1/12 • Number of events 1 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
Infections and infestations
Covid-19
8.3%
1/12 • Number of events 1 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
Infections and infestations
Meningitis
8.3%
1/12 • Number of events 1 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
Injury, poisoning and procedural complications
Infusion related reaction
8.3%
1/12 • Number of events 1 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
Investigations
Alanine aminotransferase increased
8.3%
1/12 • Number of events 1 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
Investigations
Aspartate aminotransferase increased
8.3%
1/12 • Number of events 1 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.

Other adverse events

Other adverse events
Measure
Treatment (Ublituximab, Acalabrutinib, Umbralisib)
n=12 participants at risk
Patients receive ublituximab IV over 90 minutes-4 hours on days 1, 8, and 15 of cycle 1 and days 1 of cycles 2-6. Patients also receive acalabrutinib PO BID and umbralisib PO QD on days 1-28. Treatment repeats every 28 days for 6 cycles in the absence of disease progression or unacceptable toxicity. MAINTENANCE: Patients receive ublituximab IV on day 1 on cycles 8, 10, 12, 14, 16, 18, 20, 22, 24, 26, 28, 30. Patients also receive acalabrutinib Po BID and umbralisib PO QD on day 1-28. Treatment repeats every 28 days for 24 cycles in the absence of disease progression of unacceptable toxicity. Acalabrutinib: Given PO Ublituximab: Given IV Umbralisib: Given PO
Blood and lymphatic system disorders
Anemia
66.7%
8/12 • Number of events 13 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
Cardiac disorders
Palpitations
8.3%
1/12 • Number of events 1 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
Cardiac disorders
Sinus tachycardia
41.7%
5/12 • Number of events 5 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
Gastrointestinal disorders
Abdominal distension
8.3%
1/12 • Number of events 1 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
Gastrointestinal disorders
Abdominal pain
41.7%
5/12 • Number of events 7 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
Gastrointestinal disorders
BELCHING
8.3%
1/12 • Number of events 1 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
Gastrointestinal disorders
Constipation
25.0%
3/12 • Number of events 3 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
Gastrointestinal disorders
Diarrhea
91.7%
11/12 • Number of events 30 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
Gastrointestinal disorders
Dry mouth
8.3%
1/12 • Number of events 1 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
Gastrointestinal disorders
Dyspepsia
16.7%
2/12 • Number of events 2 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
Gastrointestinal disorders
Flatulence
8.3%
1/12 • Number of events 1 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
Gastrointestinal disorders
Gastroesophageal reflux disease
8.3%
1/12 • Number of events 2 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
Gastrointestinal disorders
HEARTBURN
8.3%
1/12 • Number of events 1 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
Gastrointestinal disorders
Hemorrhoids
8.3%
1/12 • Number of events 1 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
Gastrointestinal disorders
MILD CHEST DISCOMFORT
8.3%
1/12 • Number of events 1 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
Gastrointestinal disorders
Mucositis oral
8.3%
1/12 • Number of events 1 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
Gastrointestinal disorders
Nausea
58.3%
7/12 • Number of events 12 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
Gastrointestinal disorders
Oral pain
8.3%
1/12 • Number of events 1 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
Gastrointestinal disorders
Vomiting
50.0%
6/12 • Number of events 13 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
General disorders
Chills
16.7%
2/12 • Number of events 2 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
General disorders
Edema limbs
25.0%
3/12 • Number of events 5 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
General disorders
Facial pain
8.3%
1/12 • Number of events 2 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
General disorders
Fatigue
41.7%
5/12 • Number of events 6 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
General disorders
Fever
16.7%
2/12 • Number of events 3 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
General disorders
Flu like symptoms
16.7%
2/12 • Number of events 2 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
General disorders
Malaise
16.7%
2/12 • Number of events 2 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
General disorders
Non-cardiac chest pain
16.7%
2/12 • Number of events 2 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
General disorders
Pain
8.3%
1/12 • Number of events 1 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
Infections and infestations
COVID-19
16.7%
2/12 • Number of events 2 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
Infections and infestations
Allergic Conjunctivities
8.3%
1/12 • Number of events 1 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
Infections and infestations
Eye infection
8.3%
1/12 • Number of events 1 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
Infections and infestations
Lung infection
8.3%
1/12 • Number of events 1 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
Infections and infestations
Skin infection
8.3%
1/12 • Number of events 1 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
Infections and infestations
Thrush
8.3%
1/12 • Number of events 1 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
Infections and infestations
Upper respiratory infection
16.7%
2/12 • Number of events 2 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
Injury, poisoning and procedural complications
Bruising
33.3%
4/12 • Number of events 5 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
Injury, poisoning and procedural complications
Infusion related reaction
75.0%
9/12 • Number of events 12 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
Investigations
Alanine aminotransferase increased
33.3%
4/12 • Number of events 11 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
Investigations
Alkaline phosphatase increased
25.0%
3/12 • Number of events 6 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
Investigations
Aspartate aminotransferase increased
66.7%
8/12 • Number of events 16 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
Investigations
Blood bilirubin increased
8.3%
1/12 • Number of events 4 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
Investigations
Blood lactate dehydrogenase increased
66.7%
8/12 • Number of events 10 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
Investigations
Creatinine increased
33.3%
4/12 • Number of events 5 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
Investigations
Lymphocyte count decreased
33.3%
4/12 • Number of events 7 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
Investigations
Lymphocyte count increased
8.3%
1/12 • Number of events 1 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
Investigations
Neutrophil count decreased
33.3%
4/12 • Number of events 9 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
Investigations
Platelet count decreased
58.3%
7/12 • Number of events 11 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
Investigations
Weight gain
41.7%
5/12 • Number of events 5 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
Investigations
Weight loss
41.7%
5/12 • Number of events 7 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
Investigations
White blood cell decreased
41.7%
5/12 • Number of events 9 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
Metabolism and nutrition disorders
Anorexia
8.3%
1/12 • Number of events 1 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
Metabolism and nutrition disorders
Dehydration
8.3%
1/12 • Number of events 1 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
Metabolism and nutrition disorders
Hyperglycemia
66.7%
8/12 • Number of events 13 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
Metabolism and nutrition disorders
Hyperkalemia
16.7%
2/12 • Number of events 2 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
Metabolism and nutrition disorders
Hypermagnesemia
41.7%
5/12 • Number of events 5 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
Metabolism and nutrition disorders
Hypernatremia
8.3%
1/12 • Number of events 1 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
Metabolism and nutrition disorders
Hyperphosphatemia
41.7%
5/12 • Number of events 6 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
Metabolism and nutrition disorders
Hyperuricemia
25.0%
3/12 • Number of events 3 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
Metabolism and nutrition disorders
Hypoalbuminemia
16.7%
2/12 • Number of events 3 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
Metabolism and nutrition disorders
Hypocalcemia
16.7%
2/12 • Number of events 2 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
Metabolism and nutrition disorders
Hypoglycemia
75.0%
9/12 • Number of events 14 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
Metabolism and nutrition disorders
Hypokalemia
8.3%
1/12 • Number of events 1 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
Metabolism and nutrition disorders
Hyponatremia
58.3%
7/12 • Number of events 13 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
Metabolism and nutrition disorders
Hypophosphatemia
25.0%
3/12 • Number of events 3 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
Metabolism and nutrition disorders
Tumor lysis syndrome
8.3%
1/12 • Number of events 1 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
Musculoskeletal and connective tissue disorders
Arthralgia
8.3%
1/12 • Number of events 1 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
Musculoskeletal and connective tissue disorders
Back pain
25.0%
3/12 • Number of events 3 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
Musculoskeletal and connective tissue disorders
Bone pain
16.7%
2/12 • Number of events 2 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
Musculoskeletal and connective tissue disorders
Flank pain
8.3%
1/12 • Number of events 1 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
Musculoskeletal and connective tissue disorders
Muscle cramp
8.3%
1/12 • Number of events 1 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
Musculoskeletal and connective tissue disorders
Myalgia
16.7%
2/12 • Number of events 2 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
Musculoskeletal and connective tissue disorders
Neck pain
8.3%
1/12 • Number of events 1 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
Musculoskeletal and connective tissue disorders
Pain in extremity
16.7%
2/12 • Number of events 2 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
Nervous system disorders
Dizziness
33.3%
4/12 • Number of events 5 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
Nervous system disorders
Dysgeusia
16.7%
2/12 • Number of events 2 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
Nervous system disorders
Headache
58.3%
7/12 • Number of events 9 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
Nervous system disorders
Paresthesia
16.7%
2/12 • Number of events 2 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
Nervous system disorders
Peripheral sensory neuropathy
8.3%
1/12 • Number of events 1 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
Psychiatric disorders
Anxiety
8.3%
1/12 • Number of events 1 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
Psychiatric disorders
Insomnia
16.7%
2/12 • Number of events 2 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
Psychiatric disorders
Mania
8.3%
1/12 • Number of events 1 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
Psychiatric disorders
Psychosis
8.3%
1/12 • Number of events 1 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
Psychiatric disorders
Restlessness
8.3%
1/12 • Number of events 1 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
Renal and urinary disorders
Dysuria
8.3%
1/12 • Number of events 1 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
Renal and urinary disorders
Glucosuria
8.3%
1/12 • Number of events 1 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
Renal and urinary disorders
Proteinuria
8.3%
1/12 • Number of events 1 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
Renal and urinary disorders
Urinary frequency
8.3%
1/12 • Number of events 1 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
Reproductive system and breast disorders
Vaginal dryness
8.3%
1/12 • Number of events 1 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
Respiratory, thoracic and mediastinal disorders
Bronchitis
8.3%
1/12 • Number of events 1 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
Respiratory, thoracic and mediastinal disorders
Cough
25.0%
3/12 • Number of events 4 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
Respiratory, thoracic and mediastinal disorders
Dyspnea
8.3%
1/12 • Number of events 1 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
Respiratory, thoracic and mediastinal disorders
Epistaxis
8.3%
1/12 • Number of events 1 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
Respiratory, thoracic and mediastinal disorders
Hiccups
8.3%
1/12 • Number of events 1 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
Respiratory, thoracic and mediastinal disorders
Productive cough
8.3%
1/12 • Number of events 1 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
Respiratory, thoracic and mediastinal disorders
Sore throat
8.3%
1/12 • Number of events 1 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
Skin and subcutaneous tissue disorders
Dry skin
8.3%
1/12 • Number of events 1 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
Skin and subcutaneous tissue disorders
Hyperhidrosis
8.3%
1/12 • Number of events 1 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
Skin and subcutaneous tissue disorders
Petechiae
8.3%
1/12 • Number of events 1 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
Skin and subcutaneous tissue disorders
Pruritus
25.0%
3/12 • Number of events 3 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
Skin and subcutaneous tissue disorders
Rash maculo-papular
50.0%
6/12 • Number of events 8 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
Social circumstances
dog bite
8.3%
1/12 • Number of events 1 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
Vascular disorders
Hot flashes
8.3%
1/12 • Number of events 1 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
Vascular disorders
Hypertension
75.0%
9/12 • Number of events 29 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.
Vascular disorders
Hypotension
16.7%
2/12 • Number of events 2 • Adverse Events were monitored/assessed at each 28-day cycle treatment and up to 30 days at the end of the protocol therapy. Currently, patients received the study treatment up to 12 cycles. All-Cause Mortality was monitored/assessed up to 30 months from the start time of the initial treatment.

Additional Information

Dr. Alexey Danilov

City of Hope Medical Center

Phone: 626-359-8111

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place